title: Public health investigation: focus group study of a regional infectious disease exercise.
abstract: BACKGROUND
  Local health departments and public health nurses are crucial in surveillance and response during public health emergencies. Simulated exercises are useful to train personnel and test emergency preparedness plans, but these exercises can be inconvenient or unrealistic. To address these drawbacks, "Public Health Investigation" (PHI), a multicounty, electronic infectious disease exercise, was created.
  
  
  METHODS
  After the 4-week PHI exercise, 6 separate focus groups and 1 regional focus group were conducted with participating health departments to explore perceptions of whether the format was useful, how to improve future exercises, and how well exercise objectives were met.
  
  
  RESULTS
  Counties reported improvements in all exercise objectives, especially surge capacity and coordination between counties. Small health departments requested state assistance with risk communication. Existing protocols and procedures were reported as helpful. Suggested improvements to the exercise format included a shorter, 3-week exercise, interviews with mock patients, pertinent scene information provided with scene questions, instruction on technology used, and clarifications to the "Rules of the Game."
  
  
  CONCLUSIONS
  Participants indicated that the format of the PHI exercise was successful in addressing exercise objectives. Increased regional collaboration may be the greatest strength of an exercise of this format.
authors.affiliation: Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214-3199, USA. eablah@kumc.edu
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Ablah
authors.forename: Debbie
authors.initials: D
authors.lastname: Nickels
authors.forename: Amanda
authors.initials: A
authors.lastname: Hodle
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wolfe
mesh_terms: D000328:Adult; D003141:Communicable Diseases; D004189:Disaster Planning; D005260:Female; D017144:Focus Groups; D006801:Humans; D007615:Kansas; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods; D011635:Public Health Administration